Have you read this?
Carey
Description
Collection
Title:
Have you read this?
Creator:
Carey
Date:
3/9/2015
Text:
Is anyone concerned about this requirement:
The new requirements regarding the level of fitting seem to be out of the scope of the physician:
From the LCD: When providing these items suppliers must:
Provide the product that is specified by the ordering physician, i.e. (1) type of orthosis and (2) method of fitting and/or fabrication (OTS or custom fitted).
Be sure that the medical record justifies the need for the type of product and method of fitting.
Be sure only to use the code that accurately reflects both the type of orthosis and the appropriate level of fitting.
Have detailed documentation in your records that justifies the code selected.for custom fitted versus OTS.
**I could understand this requirement if it was asking us (the supplier) to list the level of fitting on the DWO, but to ask for it to be in the medical record is too much. With all due respect, the physician does not know what level of fitting is required per patient. One of my Neurologist explained that he only had one semester of Orthotics throughout his entire school experience. How could a physician know the nomenclature of each Orthosis available today, much less the level of fitting required? At best this requirement would require an additional addendum in each chart note once our evaluation of the patient was complete. We would then have to go back to the physician and have him/her add the level of fitting that we (the Orthotist) feel is necessary. We are already going back to them for the DWO after obtaining a generic dispensing order. I feel that this is a gross overreach. Are any of the boards working on this? Do the boards see this as an overreaching requirement?
Carey Jinright, LO, MSM
WDJD
Be an example, not an excuse!
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The new requirements regarding the level of fitting seem to be out of the scope of the physician:
From the LCD: When providing these items suppliers must:
Provide the product that is specified by the ordering physician, i.e. (1) type of orthosis and (2) method of fitting and/or fabrication (OTS or custom fitted).
Be sure that the medical record justifies the need for the type of product and method of fitting.
Be sure only to use the code that accurately reflects both the type of orthosis and the appropriate level of fitting.
Have detailed documentation in your records that justifies the code selected.for custom fitted versus OTS.
**I could understand this requirement if it was asking us (the supplier) to list the level of fitting on the DWO, but to ask for it to be in the medical record is too much. With all due respect, the physician does not know what level of fitting is required per patient. One of my Neurologist explained that he only had one semester of Orthotics throughout his entire school experience. How could a physician know the nomenclature of each Orthosis available today, much less the level of fitting required? At best this requirement would require an additional addendum in each chart note once our evaluation of the patient was complete. We would then have to go back to the physician and have him/her add the level of fitting that we (the Orthotist) feel is necessary. We are already going back to them for the DWO after obtaining a generic dispensing order. I feel that this is a gross overreach. Are any of the boards working on this? Do the boards see this as an overreaching requirement?
Carey Jinright, LO, MSM
WDJD
Be an example, not an excuse!
Confidentiality Notice - The information contained in this e-mail and any attachments to it may be legally privileged and include confidential information. If you are not the intended recipient, be aware that any disclosure, distribution or copying of this e-mail or its attachments is prohibited. If you have received this e-mail in error, please notify the sender immediately of that fact by return e-mail and permanently delete the e-mail and any attachments to it. Thank you.
Citation
Carey, “Have you read this?,” Digital Resource Foundation for Orthotics and Prosthetics, accessed November 2, 2024, https://library.drfop.org/items/show/237285.
